Hello,
The extreme mood swings with
diabetes (uncontrolled) at age of 66 narrate issues with cerebral neuro transmitters as serotonin, acetyl choline and
dopamine most likely.
Actually she requires a multi modality approach of
- diabetes control
- supportive medications of mood swing control as per the cause in terms of selective Serotonin reuptake inhibitor, anxiolytics or else
- correction of micro nutrient deficiencies
- care of hydration, nutrition
- life style modifications
-
psychotherapy counselling with suggestion therapy
- avoidance of smoking, alcohol if consuming
- evaluation for chronic micro
vascular dementia of brain via MRI
Hope I have answered your query. Let me know if I can assist you further.
Wishing you all the best.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon